Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $2,290.87 / $5,623.41	Facility		$549.54	$2,290.87	$5,623.41
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $616.60 / $1,548.82 / $2,041.74	Facility	52	$616.60	$1,548.82	$2,041.74
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $933.25 / $1,659.59 / $3,630.78	Facility	53	$933.25	$1,659.59	$3,630.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $229.09 / $660.69	Professional		$112.20	$229.09	$660.69
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $138.04 / $213.80	Professional		$81.28	$138.04	$213.80
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $1,659.59 / $20,417.38	Facility		$1,318.26	$1,659.59	$20,417.38
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $194.98	Professional		$151.36	$151.36	$194.98
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $2,344.23 / $57,543.99	Facility		$1,995.26	$2,344.23	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $416.87 / $489.78	Professional		$186.21	$416.87	$489.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $724.44 / $1,380.38	Facility		$204.17	$724.44	$1,380.38
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	52	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	53	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $263.03 / $478.63	Professional		$131.83	$263.03	$478.63
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $416.87 / $660.69	Professional		$331.13	$416.87	$660.69
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $851.14 / $851.14	Facility		$691.83	$851.14	$851.14
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $323.59 / $524.81	Professional		$151.36	$323.59	$524.81
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $1,819.70 / $3,235.94	Facility		$758.58	$1,819.70	$3,235.94
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $954.99 / $1,445.44 / $2,691.53	Facility	52	$954.99	$1,445.44	$2,691.53
Highmark BCBS Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,778.28 / $3,311.31 / $4,168.69	Facility	53	$1,778.28	$3,311.31	$4,168.69
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $158.49 / $234.42	Professional		$141.25	$158.49	$234.42
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,621.81 / $11,220.18	Facility		$1,000.00	$1,621.81	$11,220.18
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $194.98	Professional		$151.36	$151.36	$194.98
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $1,174.90 / $4,786.30	Facility		$162.18	$1,174.90	$4,786.30
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $295.12 / $645.65	Professional		$125.89	$295.12	$645.65
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,412.54 / $1,479.11 / $4,786.30	Facility		$1,412.54	$1,479.11	$4,786.30
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $575.44 / $724.44	Professional		$331.13	$575.44	$724.44
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $275.42 / $331.13	Facility		$117.49	$275.42	$331.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $275.42 / $354.81	Professional		$74.13	$275.42	$354.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $2,041.74 / $3,890.45	Facility		$588.84	$2,041.74	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $245.47 / $446.68	Professional		$112.20	$245.47	$446.68

Pennsylvania rates for HCPCS 43235